ALLEGATO A
                                            Al
                                            Consorzio di gestione
                                            della pesca dei Molluschi
                                            bivalvi di ..............
                      DICHIARAZIONE STATISTICA
NOME UNITA' ..............         MATRICOLA .................
ANNO .....................         MESE ......................
________________________________________________________|____________
       |         |         |      |         |           |       |
Giorno | Zona di |  Specie |  KG. |  Giorno |  Zona di  |Specie | KG.
       |  pesca  |         |      |         |   pesca   |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   1   |         |         |      |   17    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   2   |         |         |      |   18    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   3   |         |         |      |   19    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   4   |         |         |      |   20    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   5   |         |         |      |   21    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   6   |         |         |      |   22    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   7   |         |         |      |   23    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   8   |         |         |      |   24    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
   9   |         |         |      |   25    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  10   |         |         |      |   26    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  11   |         |         |      |   27    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  12   |         |         |      |   28    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  13   |         |         |      |   29    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  14   |         |         |      |   30    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         |           |       |
  15   |         |         |      |   31    |           |       |
_______|_________|_________|______|_________|___________|_______|____
       |         |         |      |         | TOTALE    |       |
  16   |         |         |      |         |COMPLESSIVO|       |
_______|_________|_________|______|_________|___________|_______|____
Legenda:   SPECIE             TOTALI
      VONGOLE      =    V    ..............
      LONGONI      =    L    ..............
      CUORI        =    CR   ..............
      CANNOLICCHI  =    CL   ..............
      FASOLARI     =    F    ..............